DR. EDDIE LEE SCOTT III PHD
NPI 1336762079
Psychologist - Clinical Child & Adolescent in Des Moines, IA

Q: What is Eddie Scott's NPI number?

The NPI number for Eddie Scott is 1336762079. It was assigned to this individual provider in the NPPES registry on May 28, 2020.

Q: What is Eddie Scott's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: When was this NPI record last updated?

The NPPES record for Eddie Scott was last updated on June 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 28, 2020PECOS Enrolled

1801 HICKMAN RD, DES MOINES, IA 50314(515) 282-2296 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 20, 2023, May 28, 2020 (2 updates tracked since 2020).

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About Dr. Eddie Lee Scott Iii Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EDDIE LEE SCOTT III PHD (NPI 1336762079) is an individual clinical child & adolescent provider in Des Moines, Iowa, licensed in Iowa (110830) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336762079

Entity TypeIndividualMale

Primary Taxonomy103TC2200X

Provider Legal NameDR. EDDIE LEE SCOTT IIICredential: PHD

Location Address1801 HICKMAN RDDes Moines, IA 50314-1597

Mailing Address1801 Hickman RdDes Moines, IA 50314-1597 · (515) 282-2296

Phone(515) 282-2296

Sole ProprietorNo

Enumeration DateMay 28, 2020

Last NPPES UpdateJune 20, 20232 updates tracked since enumeration

NPPES CertifiedApril 28, 2023

✔ NPI 1336762079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in IA · 110830

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

1801 HICKMAN RD, Des Moines, IA 50314

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Wellmark Health Plan of Iowa, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Eddie Lee Scott Iii Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Eddie Scott reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Broadlawns Medical Center

Same address

General Acute Care Hospital

1801 HICKMAN RD
Des Moines, IA 50314

Reassigned Medicare billing, Iowa enrollment
518 clinicians in this Medicare group

NPI 1467447508 (515) 282-2200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MATTHEW HELMICK WILLIAMS D.O.

Family Medicine

1801 HICKMAN RD
DES MOINES, IA 50314

Polk County (515) 282-5640

ALEX YEONWOO KIM DO

Psychiatry & Neurology (Psychiatry)

1801 HICKMAN RD
DES MOINES, IA 50314

Polk County (515) 282-2200

CAMERON MATTHIAS GREINER DO

Student in an Organized Health Care Education/Training Program

1801 HICKMAN RD
DES MOINES, IA 50314

Polk County (515) 282-2200

MARK DYKEN MD

Student in an Organized Health Care Education/Training Program

1801 HICKMAN RD
DES MOINES, IA 50314

Polk County (515) 282-2200

KELLI GREEN MD

Psychiatry & Neurology (Psychiatry)

1801 HICKMAN RD, BROADLAWNS MEDICAL CENTER
DES MOINES, IA 50314

Polk County (515) 282-2319

KATRINA COEN

Pharmacist

1801 HICKMAN RD
DES MOINES, IA 50314

Polk County (515) 282-2378

NICOLE RENEE SLIVA OTR/L

Occupational Therapist

1801 HICKMAN RD
DES MOINES, IA 50314

Polk County (515) 282-5621

GARY HUDSON PA-C

Physician Assistant

1801 HICKMAN RD
DES MOINES, IA 50314

Polk County (515) 282-2319

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eddie Scott's NPI number?

The NPI number for Eddie Scott is 1336762079. It was assigned to this individual provider in the NPPES registry on May 28, 2020.

Where is Eddie Scott located?

Eddie Scott practices at 1801 Hickman Rd, Des Moines, IA 50314. The listed phone number is (515) 282-2296.

What is Eddie Scott's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Eddie Scott enrolled in Medicare?

Yes. Eddie Scott is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Eddie Scott's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eddie Scott reassigns Medicare benefits to Broadlawns Medical Center (Des Moines, IA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Eddie Scott's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eddie Scott accept?

Health plans from Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Eddie Scott as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eddie Scott was last updated on June 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.